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ORIGINAL ARTICLE • Rev. Bras. Enferm. 76 (Suppl 1) • 2023 • https://doi.org/10.1590/0034-7167-2022-0730 copy

Sociodemographic profile, diagnoses and nursing care in post-COVID-19 patients in a Brazilian university hospital

Perfil sociodemográfico, diagnósticos y cuidados de enfermería en pacientes post-COVID-19 en un hospital universitario brasileño

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to analyze the sociodemographic profile, diagnoses and nursing care of post-COVID-19 patients admitted to a university hospital in southern Brazil.

Methods:

a retrospective cohort study. The sample consisted of 1,467 medical records, from January 2020 to January 2021.

Results:

from the analyzed medical records, the most prevalent profiles, respectively, included: males (52.9%); white (81.1%); with Impaired Physiological Balance Syndrome* Nursing Diagnosis (77.3%); nursing care implementing aerosol precautions (94.5%); implementing droplet precautions (93.4%); checking vital signs (91.9%); applying standard disinfectant to equipment and surfaces (89.6%).

Conclusions:

the analysis of the sociodemographic profile, diagnoses and nursing care of patients in this study may contribute to implementing the Nursing Process in the coronavirus pandemic context.

Descriptors:
Pandemic; Nursing Diagnosis; Nursing Care; COVID-19; Nursing

Nursing Diagnoses	(n)	(%) total	(%) valid
*Impaired Physiological Balance Syndrome	1134	77.3	77.3
(00004) Risk for Infection	704	48	48
(00155) Risk for Falls	682	46.5	46.5
(00249) Risk for Pressure Injury	426	29	29
(00032) Ineffective Breathing Pattern	358	24.4	24.4
(00044) Impaired Tissue Integrity	323	22	22
(00030) Impaired Gas Exchange	320	21.8	21.8
(00033) Impaired Spontaneous Ventilation	290	19.8	19.8
(00206) Risk for Bleeding	218	14.9	14.9
*Self-Care Deficit Syndrome	217	14.8	14.8
(00132) Acute Pain	201	13.7	13.7
(00087) Risk for Perioperative Positioning Injury	154	10.5	10.5
(00108) Bathing Self-Care Deficit	106	7.2	7.2
(00245) Risk for Corneal Injury	98	6.7	6.7
(00046) Impaired Skin Integrity	95	6.5	6.5
(00047) Risk for Impaired Skin Integrity	94	6.4	6.4
(00179) Risk for Unstable Blood Glucose	80	5.5	5.5
(00002) Imbalanced Nutrition Less Than Body Requirements	73	5	5

Variable	Categories	Has at least (1) Nursing Diagnosis initiated		p value
Variable	Categories	Yes	No	p value
Lucid				<0.001
	Yes	34 (4.0)	808 (96.0)
	No	86 (13.8)	539 (86.2)
Oriented				<0.001
	Yes	29 (3.9)	708 (96.1)
	No	91 (12.5)	639 (87.5)
Alert				0.083
	Yes	26 (6.1)	399 (93.9)
	No	94 (9.0)	948 (91.0)
Confused				<0.001
	Yes	24 (31.6)	52 (68.4)
	No	96 (6.9)	1295 (93.1)
Comatose				1.000
	Yes	2 (9.5)	19 (90.5)
	No	118 (8.2)	1328 (91.8)
Lethargic				<0.001
	Yes	10 (32.3)	21 (67.7)
	No	110 (7.7)	1326 (92.3)
Sedated				0.242
	Yes	15 (11.2)	119 (88.8)
	No	105 (7.9)	1228 (92.1)
Hectic				0.012
	Yes	5 (27.8)	13 (72.2)
	No	115 (7.9)	1334 (92.1)
Others*				0.007
	Yes	4 (40.0)	6 (60.0)
	No	116 (8.0)	1341 (92.0)

Nursing care	(n)	(%)
Implementing aerosol precautions	1.387	94.5
Implementing droplet precautions	1.370	93.4
Checking vital signs	1.348	91.9
Applying standard disinfectant to equipment and surfaces	1.315	89.6
Implementing contact precautionary measures	1.302	88.8
Implementing care according to the fall care protocol	1.216	82.9
Keeping head elevated	1.196	81.5
Implementing venipuncture care	1.048	71.4
Communicating changes in the ventilatory pattern	1.001	68.2
Taking a bed bath	985	67.1
Implementing care protocol for pressure injury prevention and treatment	979	66.7
Checking oximetry	944	64.3
Performing oral hygiene by applying standard mouthwash	932	63.5
Implementing care with oxygen therapy (nasal cannula)	921	62.8
Applying 2% aqueous chlorhexidine to the body when changing cardiac electrode sets	810	55.2

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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